Food Establishment Inspection Report |
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FOODBORNE ILLNESS RISK FACTORS AND PUBLIC HEALTH INTERVENTIONS |
Circle designated compliance status (IN, OUT, N/O, N/A) for each numbered item IN=in compliance OUT=not in compliance N/O=not observed N/A=not applicable Mark "X" in appropriate box for COS and/or R COS=corrected on-site during inspection R=repeat violation |
Risk factors are important practices or procedures identified as the most prevalent contributing factors of foodborne illness or injury. Public health interventions are control measures to prevent foodborne illness or injury. |
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GOOD RETAIL PRACTICES |
Good Retail Practices are preventative measures to control the addition of pathogens, chemicals, and physical objects into foods. Mark "X" in appropriate box for COS and/or R COS=corrected on site during inspectionR=repeat violation |
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IOCI 17-356
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Food Establishment Inspection Report |
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Establishments: KING MIDDLE GRADE SCHOOL | Establishment #: KK105 |
Water Supply: Public Private Waste Water System: Public Private |
Sanitizer Type: Chemical | PPM: QUAT 200 | Heat: NA °F |
CFPM Verification (name, ID#, expiration date): | |||
SUPREMA DIVELEY 20898245 08/13/2026 |
JAMIE TAYLOR 25979614 07/23/2029 |
TANYA CLOONEN 26646986 12/10/2029 |
ERICKA DUARTE 1BH378-JKH6DG1 12/18/2028 |
TEMPERATURE OBSERVATIONS |
Item/Location |
Temp |
Item/Location |
Temp |
Item/Location |
Temp |
Salsa/Cooler | 41.00°F | /Left milk cooler | 36.00°F | Right milk cooler/37 | 0.00°F |
/Walk-in cooler | 37.00°F | /3 freezers | 0.00°F |
OBSERVATIONS AND CORRECTIVE ACTIONS |
Item Number |
Severity | Violations cited in this report must be corrected within the time frames below. |
54 | C |
5-501.113: Receptacles and waste handling units for REFUSE, recyclables, and returnables shall be kept covered:
(A)Inside the FOOD ESTABLISHMENT if the receptacles and units:
(1)Contain FOOD residue and are not in continuous use; or
(2)After they are filled; and
(B)With tight-fitting lids or doors if kept outside the FOOD ESTABLISHMENT. The dumpster lids are open. Close and maintain by the next routine inspection. |
HACCP Topic: COOKING TEMPERATURES. |
Person In ChargeSUPREMA DIVELEY |
Date:05/12/2023 |
InspectorDANA JAMES |
Follow-up: Yes No Follow-up Date: |